Key result
Minimally invasive coronary artery bypass surgery is feasible, safe, and effective for multi-vessel disease when performed with appropriate patient selection, equipment, and surgical experience.
Why the study?
Does minimally invasive coronary artery bypass surgery compare favorably to classical CABG and hybrid approaches in selected patients?
Does minimally invasive coronary artery bypass surgery compare favorably to classical CABG and hybrid approaches in selected patients?
Minimally invasive coronary artery bypass surgery is a feasible, safe, and effective alternative to classical CABG when performed in appropriately selected patients by experienced surgeons.
Supports MICS CABG feasibility in selected patients; leaves open randomized comparisons to conventional CABG.
The review is devoted to history of minimally invasive coronary artery bypass surgery, such as MIDCAB and MICS CABG. Attention is focused on key issues and criteria for selecting patients for CABG via anterolateral mini-thoracotomy. The advantages and disadvantages of minimally invasive coronary artery bypass surgery are analyzed in comparison with classical coronary artery bypass grafting and hybrid approach. The current issues of minimally invasive coronary artery bypass surgery and the ways for their solution are analyzed in detail. The authors conclude that MICS CABG is feasible and can make multi-vessel minimally invasive coronary surgery safe, effective and widely available in appropriate selection of patients, adequate equipment and sufficient surgical experience.
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Agaeva et al. (2023) conducted a review in Coronary artery disease requiring CABG. Minimally invasive coronary artery bypass surgery (MIDCAB and MICS CABG) vs. Classical coronary artery bypass grafting and hybrid approach was evaluated. Minimally invasive coronary artery bypass surgery is feasible, safe, and effective for multi-vessel disease when performed with appropriate patient selection, equipment, and surgical experience.
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